• Title/Summary/Keyword: Aggravation

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Evaluation of the tributaries by influence index on the mid-lower portion of the Nakdong River basin

  • Lee, Shun-Hwa;Jung, Seung-Gyu;Park, Seoung-Muk;Lee, Byung-Dae
    • Environmental Engineering Research
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    • v.23 no.2
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    • pp.150-158
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    • 2018
  • The deteriorating role of Nakdong River due to the Four Major Rivers Project has caused a series of problems, including water pollution, drying streams, aggravation of the hydroecology. Geumho River and Gyeongseong-cheon had a higher concentration index and is believed to impact the water quality of the main stream. The influence index of Geumho River and Nam River between 2015 and 2016, which have a large amount of discharge, was the highest among the tributaries in terms of the load material balance. Showing the highest average concentration and average load in the index assessment, Geumho River is believed to require an intensive management for improving the water quality of the main stream. Furthermore, when the cumulative percentage of the average concentration and average load was compared based on the water quality improvement of the tributaries mixed to Nakdong River, which was set to 60%, Geumho River, Nam River, Topyeong-cheon, and Cha-cheon, which showed the highest ratio in that order, were determined to require a water quality management program as a priority.

Stress Perception of Patients with Extrinsic Type of Bronchial Asthma (외인성 기관지천식환자들의 스트레스지각)

  • Koh, Kyung-Bong;Hong, Chein-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.45-51
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    • 1993
  • Stress perception was investigated in 53 outpatients with extrinsic type of bronchial asthma, using GARS scale and other questionnaires. 40% of the patients were found to be psychosomatic. The patients were more likely to consider their physical symptoms as severe than the allergist Severity of symptoms rated by the allergist had significantly positive correlation with scores of stress perception related to changes in relationship. However, no significant correlation was found between severity of symptoms rated by patients and scores of stress perception. Psychosomatic group was significantly higher in scores of stress perception related to illness and injury, financial burden, and change or no change in routine than non-psychosomatic group. Female. older age, higher education. presence of religion. and presence of psychological stressors at onset and/or aggravation of the illness were found to increase stress perception. These findings indicate ant extrinsic asthmatics an less likely to perceive psychological stress than physical symptoms, and that they are less vulnerable to psychological stressors than patients with other diseases.

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Enhancement of Allergen-related Eosinophilic Airway Inflammation and Airway Hyperresponsiveness by House Dust Particles in Mice (생쥐에서 가정분진 입자로 인한 항원관련 호산구성 기도 염증과 기도 과민성의 증대)

  • Lim, Heung-Bin;Kim, Seung-Hyung
    • Journal of Korean Society for Atmospheric Environment
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    • v.24 no.3
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    • pp.321-328
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    • 2008
  • The number of patient with allergic asthma and atopy have increased in the cities of Korea steadily. In order to elucidate the primary factor, we investigated whether the house dust particles collected from an apartment of the middle classes has promoting effects of allergen-related airway inflammation and airway hyperresponsiveness. Mice were treated with 0.1 mL of 1 mg/mL of house dust particles suspension by intratracheal instillation once weekly for 10 weeks combined with ovalalbumin (OVA) sensitization. Intratracheal instillation of house dust particles and OVA sensitization caused an increase in the level of serum L-lactate dehydrogenase (LDH), immunoglobulun-E (IgE) and histamine, and an elevation in respiratory resistance. It also enhanced infiltration of eosinophils in the bronchoalveolar lavage fluid (BALF) of mice, IgE and eotaxin expression in blood, and T helper type 2 cell derived cytokine levels such as of interleukin (IL)-4, IL-13 and IL-5 in the BALF. However, it did not influence T helper type 1 cytokine such as interferon-gamma in the BALF. These results indicate that house dust particles elevate allergen-related airway inflammation and airway hyperresponsiveness in mice and may play an important role in the aggravation of asthma and atopy in Korea.

Effects of Allergen-related Asthmatic Airway Inflammation and Airway Hyperresponsiveness by Asian Sand Dust in Mice (생쥐에서 황사로 인한 항원관련 천식성 기도 염증과 기도 과민성에 미치는 영향)

  • Lim, Heung-Bin;Kim, Seung-Hyung
    • Environmental Analysis Health and Toxicology
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    • v.25 no.2
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    • pp.121-129
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    • 2010
  • This study was carried out to investigate whether asian yellow sand dust (AS) has promoting effects of allergen-related airway inflammation and airway hyperresponsiveness, because the number of patient with allergic asthma and atopy, and with chronic bronchial inflammation and pneumonia have increased steadily in the cities of Korea. The appearance of AS collected was all round and flat, and the diameter was mostly below about 5 ${\mu}m$. When mice were treated with AS suspension by intratracheal instillation combined with ovalalbumin(OVA) sensitization chronically, the level of serum L-lactate dehydrogenase (LDH), IgE and histamine, and respiratory resistance was increased. Intratracheal instillation of AS and OVA also enhanced infiltration of eosinophils in the bronchoalveolar lavage fluid (BALF), IgE and eotaxin expression, and T helper type 2 cell derived cytokines of interleukin (IL)-4, IL-13 and IL-5 as major contributors to allergy and asthma. These results indicate that AS elevates allergen-related airway inflammation and airway hyperresponsiveness in mice and may play an important role in the aggravation of respiratory diseases in Korea.

Rapid Visual Deterioration Caused by Posterior Fossa Arachnoid Cyst

  • Shin, Chang Jin;Rho, Myeongho;Won, Yu Sam;Kim, Si On
    • Journal of Korean Neurosurgical Society
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    • v.59 no.3
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    • pp.314-318
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    • 2016
  • Posterior fossa is a site next to the middle fossa where arachnoid cyst frequently occurs. Generally, most arachnoid cysts are asymptomatic and are found incidentally in most cases. Although arachnoid cysts are benign and asymptomatic lesions, patients with posterior fossa arachnoid cysts often complain of headaches, gait disturbance, and ataxia due to the local mass effects on the cerebellum. We observed a patient with a posterior fossa arachnoid cyst who had visual symptoms and a headache, but did not have gait disturbance and ataxia. We recommended an emergency operation for decompression, but the patient refused for personal reasons. After 7 days, the patient revisited our hospital in a state of near-blindness. We suspected that the arachnoid cyst induced the hydrocephalus and thereby the enlarged third ventricle directly compressed optic nerves. Compressed optic nerves were rapidly aggravated during the critical seven days; consequently, the patient's vision was damaged despite the operation. Considering the results of our case, it is important to keep in mind that the aggravation of symptoms cannot be predicted; therefore, symptomatic arachnoid cysts should be treated without undue delay.

Pseudoaneurysm of Ulnar Artery after Endoscopic Carpal Tunnel Release

  • Ryu, Sung-Joo;Kim, In-Soo
    • Journal of Korean Neurosurgical Society
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    • v.48 no.4
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    • pp.380-382
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    • 2010
  • The authors present an extremely rare case of a pseudoaneurysm of the ulnar artery as a complication of a two-portal endoscopic carpal tunnel release (ECTR). A 70-year-old man with chronic renal failure and on maintenance hemodialysis with a left arteriovenous fistula presented with paresthesia of his right hand. A clinical diagnosis of right carpal tunnel syndrome was confirmed by ultrasonography and an electro physiologic study. He underwent two-portal ECTR, and the paresthesia was much improved. However, he presented to us one month after operation with severe pain, a tender mass distal to the right wrist crease and more aggravation of the paresthesia in the ulnar nerve distribution. Doppler ultrasound was performed and revealed a hypo echoic lesion 20 mm in diameter in the right palm, with arterial Doppler flow inside connected to the palmar segment of the ulnar artery. An ulnar artery pseudoaneurysm was diagnosed and treated by ultrasound-guided percutaneous thrombin injection. Transverse color Doppler ultrasound image showed complete thrombosis of the pseudoaneurysm and flow cessation after a total injection of 500 units of thrombin. The symptoms were also improved.

Optical Spectroscopic Analysis of Muscle Spasticity for Low-Level Laser Therapy (LLLT)

  • Lee, Yeon-Ui;Lee, Sang-Kwan;Youn, Jong-In
    • Journal of the Optical Society of Korea
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    • v.15 no.4
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    • pp.373-379
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    • 2011
  • Current therapeutic methods for suppressing muscle spasticity are intensive functional training, surgery, or pharmacological interventions. However, these methods have not been fully supported by confirmed efficacy due to the aggravation of the muscle spasticity in some patients. In this study, a combined system was developed to treat with a low-level laser and to monitor the region of the treatment using an optical spectroscopic probe that measures oxygen saturation and deoxygenation during low-level laser therapy (LLLT). The evaluation of the wavelength dependence for LLLT was performed using a Monte Carlo simulation and the results showed that the greatest amount of heat generation was seen in the deep tissue at ${\lambda}$ = 830 nm. In the oxy- and deoxygenation measurements during and after the treatment, oxygen-Hb concentration was significantly increased in the laser-irradiated group when compared to the control group. These findings suggest that LLLT using ${\lambda}$ = 830 nm may be of benefit in accelerating recovery of muscle spasticity. The combined system that we have developed can monitor the physiological condition of muscle spasticity during the laser treatment in real time and may also be applied to various myotonia conditions such as muscle fatigue, back-pain treatment/monitoring, and ulcer due to paralysis.

CARE OF POSTTRAUMATIC PAIN SYNDROME IN THE PSYCHIATRIC DISORDER PATIENT : REPORT OF CASES (정신 장애 환자에서 외상후 통증증후군의 관리 : 증례보고)

  • Oh, Ji-Hyeon;Yoo, Jae-Ha;Kim, Jong-Bae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.1
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    • pp.9-16
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    • 2015
  • Pain and sensory disorder resulting from injury to peripheral nerves of the face and jaws are a major source of patient dissatisfaction and suffering. The majority of patient who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but orderly return of sensation that is functional and tolerable in quality, if not "normal". For many patients, however, the long-term effects are a source of aggravation, and for a few, a significant cause of suffering. Common complaints relate to reduced sensory information causing embarrassing food accumulations or drooling, biting a burning the lip or tongue, and difficulty in performing routine activities such as shaving and apply makeup. For some patients posttraumatic symptoms become pathological and frankly painful. The predominent pain components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning, aching causalgiaform pain, and (4) phantom pain. This is a report of cases about posttraumatic pain syndrome associated with dental treatment in a psychologically disabled patient.

The Disease Management Experience of Patients with Asthma: Grounded Theory Approach (천식 환자의 질병관리 경험: 근거이론접근)

  • Kim, Bohye;Kim, Oksoo
    • Journal of Korean Academy of Nursing
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    • v.50 no.5
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    • pp.714-727
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    • 2020
  • Purpose: The aim of this study was to develop a situation-specific theory to explain the disease management experience of patients with asthma. Methods: Twenty participants with asthma were selected using the theoretical sampling method. The data were acquired through in-depth interviews conducted from June to October 2018 and analyzed using the grounded theory approach of Strauss and Corbin. Results: In total, 69 concepts, 30 subcategories, and 13 categories were generated to explain the disease management experience of patients with asthma. The core category of the disease management experience of patients with asthma was 'management of the disease to prevent aggravation of symptoms over the lifetime'. The disease management process of asthma patients included three steps: the 'cognition phase', the 'adjustment phase', and the 'maintenance phase'. However, some patients remained in the 'stagnation phase' of disease management, which represents the result of the continual pursuit of risky health behavior. There were three types of disease management experiences among patients with asthma: 'self-managing', 'partially self-managing', and 'avoidant'. Conclusion: This study shows that patients with asthma must lead their disease management process to prevent exacerbation of their symptoms. It is imperative to develop nursing strategies and establish policies for effective disease management of patients with asthma based on their individual disease management processes and types.

Worst-case Guaranteed Scheduling Algorithm for HR-WPAN (HR-WPAN을 위한 Worst-case Guaranteed Scheduling Algorithm)

  • Kim, Je-Min;Lee, Jong-Kyu
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.5B
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    • pp.270-276
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    • 2007
  • The proposed LDS(Link-status Dependent Scheduling) algorithm in HR-WPAN(High Rate-Wireless Personal Area Network) up to now aims at doing only throughput elevation of the whole network, when the crucial device is connected with worst-link relatively, throughput of this device becomes aggravation. The proposed the WGS(Worst-case Guaranteed Scheduling) algorithm in this paper guarantees throughput of the device which is connected with worst-link in a certain degree as maintaining throughput of all devices identically even if a link-status changes, decreases delay of the whole network more than current LDS algorithm. Therefore proposed WGS algorithm in this paper will be useful in case of guaranteeing throughput of a device which is connected worst-link in a certain degree in a design of HR-WPAN hereafter.